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PRE 2010 DOCSDate: 'i City of Fridley, Minn. BUILDING PERMIT Builder Address Address (:5::03'7 , LO , IO�F BUILDING No. Street ....._.... Paqol Lot t Lot__ Block — Addition or Sub -Division Corner Lot _ Inside Lot of! " Setback 5, �— deyard � Sewer Elevation _____ _ _ Foundation Elevation DESCRIPTION OF BUILDING ' " •�` Front # " _ Depth Height f Sq. Ft. Z44 Cu. Ft. Front Depth Height __ _ Sq. Ft. Cu. Ft. _ Type of Construction — d Est. Cost To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinancxs of the city of Fridley. In consideration of the payment of a fee of $%, permit is hereby granted to.— to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work d, around. and upon said building, or any Bart thereof, shall conform in all respects to the ordinances of Fjy ]i+iinnesota regarding location, construction, alteration, maintenance, repair and moving of buildings wthe City limits sad this permit may be revoked at any tame upon violation�f any of the provisions of said g cM �, rr Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas beating, sewer or water. Be Sure to we the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name Builder Address Address LOCATION OF BUILDING No. % Ln Cm, of Lot Lot Block. � Addition or Sub.Div. Corner Lot_____Inside Lot"t Back 2 Sr Side-YardI(g SEM ENATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: -t( q�9.a Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction, Estimated Cost To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representa- tions stated in t s application are true and rrect. DATE SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) City of Fridley Application for Plumbing and Gas Fitting Porn* Dept. of Bldgs. Phone SII 4-7 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. 6 x $1.50 $_ d Future Fixture Opening ................ �z3z 1.20 Ox New Fixture Old Opening .............. x 0 z • F • N WATER HTR. GAS ELEC. Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 0 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ....... x �o' Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Base 1st % 2nd 3rd 4th Future Connection Openings Connected withI Sewer Eq New Fixture, Old Openings Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. 6 x $1.50 $_ d Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 0 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ....... x $1.50 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ C� TOTAL FEE $,� City of Fridley: The undersigned hereby makes application for a permit for the work herel specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application arVtrue and correct. Owner, Kind of Building GUsed as To be completed about r Estimated Cost, $ Old—New. Building Permit No O Permit o. Signe By z�c/ Business Phone No -&2,2 ROUGH -I FINAL cq�42 2M 19-Z d Application for Power Plants and: Heating, Coding. Ventilation..Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 G each add. 60,000 BTU ........................ 2.00 $ Replacement of Furnace #.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .......:...... 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ ,. Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $_\'f—' a u GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $�% Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL $ See Fee Schedule $ TOTAL FEE $� Dept. of Bldgs. Phone SII. 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. � Fridley,Minn— '` /L / `� l , 19 Owner Kind of Buildin � Used as To be completed about Estimated Cost, $ Old ew. uilding Permit No. Permit DESCRIPTION OF WORK HEATING or PO PLANTS—Steam, Hot Wa �W�A�rNo Trade Na . Size '& Capacity Sq. Ft. E.D.R 1j.P. Total Connected Load \,E 7 Kind of Fu BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signed gi4 By E4- 4 z 2M 7-59 Business Phone No DPW 105 VILLAGE OF RICHFIELD 2/60 PUBLIC WORKS DEPARTWENT PROTECTIVE INSPECTION DIVISION oe DATE o� APPLICATION FOR HEATING & VENTILATING PERMIT OWNER � ADDRESS D KIND 0 BU NG HOW OCCUPIED WORK TO BE COMMENCED TO BE COMPLETED EST I MATED COST -3-6le DESCRIPTION OF WORK 1, GRAVITY WARM AIR HEATING PLANTS - FURNACES. MAKE SIZE N0. CONNECTED LOAD CAPACITY KIND FUEL GAS AUTHORIZATION No ALTERATION OR REPAIRS ESTIMATED COST 2' MAKE MECHANICALWARMAIR HEATING– EURNACEg y -SIZE Noe__ 6zlg:� /atQ CONNECTED LOAD �S-�, 9�5� CAPACITY KIND FUEL GAS AUTHORIZATION Noe ALTERATION OR REPAIRS ESTIMATED COST :tzf=1 , 3m HEATING OR POWER PLANT STEAM HOT WATER OTHERS TRADE NAME SIZE Noe MANUFACTURER ADDRESS CAPACITY SQ, FTO E.DeR. BeT.U. H.P• TOTAL CONNECTED LOAD KIND OF FUEL ALTERATIONS OR REPAIRS ESTIMATED COST 4* AIR CONDITIONING SYSTEM - SUMMER WINTER ALL YEAR MAKE CAPACITY C, F, Me ALTERATIONS OR REPAIRS ESTIMATED COST 5* VENTILATING SYSTEM MAKE CAPACITY Co F• Me ALTERATIONS OR REPAIRS ESTIMATED COST 6, OTHER DEVICES DEVICE SIZE N0, CAPACITY USED FOR FEE PENALTY TOTAL FEE CHIEF INSPECTOR% THE UNDERSIGNED HEREBY MAKES APPLICATION FOR A PERMIT FOR THE INSTALLATION$ ALTERATIONS REPAIR OR OPERATION Ot A HEATING OR POWER PLANTS DEVICE OR BOILER,, AS HEREIN SPECIFIED, AGREEING TO DO ALL SUCH WORK OR TO OP- ERATE SUCH PLANT OR BOILERS IN STRIRT ACCORDANCE WITH THE VILLAGE ORDINANCES AND RULINGS OF THE DEPARTMENT OF PUBLIC WORKS AND THE SPECIFICATIONS SET FORTH IN THIS APPLICATION AS APPROVED AND FILED IN THE DEPARTMENT 4P PUBLIC WORKS$.AND HEREBY DECLARES THAT ALL THE FACTS AND REPRESENTATIONS STATED IN THIS APPLICATION ARE TRUE AND CORRECTO I;-- , " BY AD D -„s 79 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS& Weatherstrips A.S.H.V.E. Construction No. Guide ows rs Reference Out. Wall Int. Wall Ceiling Roof Floor II Kind s --)-N o es No 19— Room I Leng ,Y'' Width /�. Height T Fl.0 5,-74 Room 1 Windows and Dors—Crackage and Area Windows and Doors—Cri Width Height No. of Lineal f . Area Width Height No, No. of pane of pan lights of crack aq. ft. No. of Wane of Wane I 1W I otal Btu. / / x Required . ft. E.D.R. or sq. ins. W.A. Leader area F1.I o�/�e✓rsi� Room Length ' `°Width f/ ' Heiaht ' Windows an Doors—Crackage and Area Glass N t . /f aS 120 '(� .90 �8 1'KJ1 v 1!5-�% Int. wall /,O Coef. Btu Infiltration Glass Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l ® I Room I Length // i Exp. wall Glass Net exp. wall �� = Exp. wall / ,R Ceiling -J-- - a Net exp. wall Floor /e7 Ceiling Int. wall /co / 0 Floor Ceiling f Floor I otal Btu. / / x Required . ft. E.D.R. or sq. ins. W.A. Leader area F1.I o�/�e✓rsi� Room Length ' `°Width f/ ' Heiaht ' Windows an Doors—Crackage and Area Glass Width Height No. of Lineal Lt. Area No. of Dana ofpane ilgh/te of crack sq. ft. Exp. wall `' .90 Net exp. wall 1!5-�% Int. wall Coef. Btu Infiltration Btu 3% . Glass Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l ® I Room I Length // i Exp. wall Glass Glass Net exp. wall �� ` '® Int. wall / ,R Ceiling -J-- - a j1J Floor a -- Total Btu. & Require , s . f . E.D.R. or sq. ins. W.A. Leader area F1.1 ,a�a.,� ��' Room I Length �'�' Width /'/ ` Heiaht '" WindZs and Doors—Crackage and Area Glass Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Exp. wall `' .90 Net exp. wall 1!5-�% Int. wall Coef. Coef. Btu Infiltration /—W—Mer— Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l ® I Room I Length // i e Glass Glass Exp. wall �� ®�1® 6 Exp. wall / ,R /P -J-- - a Net exp. wall /0 Ceiling Int. wall /co / 0 Floor Ceiling f Floor Total Btu. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. D.R. Rte- ,::577 Insulation How. `' Width and Area seal ft. Area crac(t eq. ft. IT1(01 Z Coef.l Btu Infiltration Glass b -V Exp. wall `' / Net exp. wall 1!5-�% Int. wall Coef. Ceiling Infiltration Floor W/zf Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l ® I Room I Length // i Width Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack s®q. ft. Coef. Btu Infiltration W/zf Glass Exp. wall i Net exp. wall /P -J-- - a Int. wall Ceiling /co / 0 Floor f IIS s r— r-- Total Btu. �— Required sq. ft. E.D.R. or sq. ins. W.A. Leader area i F1.1 Room I Length Width Height �t — Windows and Doors—Crackage and Area Width Height No. of Lineal ft Area No. of pane of pane lights of crack sq. ft. Coef. Btu B u Infiltration / Glass Exp. wall Net exp. wall Int. wall Ceiling l(� Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Community Development Department DATE: October 17, 1994 PLANNwG DIVISION City of Fridley TO: William W. Burns, City Manager FROM: Barbara Dacy, Community Development Director Scott Hickok, Planning Coordinator Steven Barg, Planning Assistant SUBJECT: Hlllwind Road Townhouse Project Staff understands that Harold McKinley of 1010 Lynde Drive recently contacted you, and expressed concern regarding rats relocating to adjacent properties from the townhouse site. Siah St. Clair discussed this matter with W. McKinley, and advised him that rats do not normally live in the ground, but rather they commonly find homes m -locations_ such as sewer pipes and abandoned buildings. Mr. McKinley believes that .rats became a problem for him in 1980 as a result of grading involved, s th the d4atiq4VIad in this area, and he wanted it known that he will F hold the City.tespomble should lie expcnence rats on his property following this project. Based on Siah's comments, it would appear that such an occurrence is extremely unlikely. 4 : ,11 CEM -94-104 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS Effective On January 1, 1995 PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES NO. RATE TOTAL New Fixtures 67 Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yes {) No Type $ 7.00 807.60 $ 4.00 moi/, CXJ $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 L0.C)L> $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge TOTAL FEE JOB ADDRESS 1610 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Buildin Estimated Cost Co PERMIT NO PLUMBING COMPANY SIGNED Approved S TEL Rough—In Date Final DaterL�y'�7 50 t MINIMUM FEE V �� 40R ANY PLUMBING/ $ " PLUS THE $.50 STATE SURCHARGE Water, Closet Urinal Bath ' Tub Wash Shower Sir)K Tra ix Fuht. '! Floor Catch; Auto. Dram $assn :r ! Wash Cas Gas Misc A' I. :..1 Ran a Fiat. i',; I,i Water Heater Gas Elea Stories Basement i.;: i �iI d, Inl:�,y�IfPf...�; p . ,7 �( m6,h1 �Ill:u��ll'mei / ; Floor 1 !..I 2 i,,. . 14I�6F 0 iFloor P�hrl t�� Ilgf 1� y ',u y; Floor 3nN Floor 4 PLUMBING FIXTURE RATES NO. RATE TOTAL New Fixtures 67 Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yes {) No Type $ 7.00 807.60 $ 4.00 moi/, CXJ $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 L0.C)L> $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge TOTAL FEE JOB ADDRESS 1610 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Buildin Estimated Cost Co PERMIT NO PLUMBING COMPANY SIGNED Approved S TEL Rough—In Date Final DaterL�y'�7 50 t MINIMUM FEE V �� 40R ANY PLUMBING/ $ " PLUS THE $.50 STATE SURCHARGE ('1 l 3R9. CITY OF FRIDLEY INSPECTION DIV. Effective On January 1,199 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE JOB ADDRESS l O Q_ KJ e_ r• t� The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Sumer - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ representations stated In this application are true and correct. (Side Vent - Fill Out Back) I-- b- 9 . _ I Gas Piping (Needed with new furnace) $10.00 $ II OWNER Gas Range $10.00 $ BUILDING USED AS�eCI' it 'P_fiL CJQ- Gas Dryer $10.00 $ / ESTIMATED COST PERMIT NO. 0 v�v1 *Air Conditioning — All Sizes $10.00 $ DESCRIPTION OF`FURNACE AND OR_BURNER All Others/Repairs & Alterations (LIST ON BACK) 00 1% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ 0 Burner Trade Name Size No. S'a BTU HP EDR TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed In a side yard without written permission from adjoining property owner. HEATING COMPANY Signed By Tel No. 0 Approved By0J Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE NOTE: #1 through #8 required when using a side vent furnace. CHIMY AND STACK NUU9 ICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( } 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: HEATING CO: Signed By: Date: THERMEX CORP 4860 Park Glen Ra. Mple., MN &5416 City of Fridley AT THE TOP OF THE TWINS sueJEcrPE BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. r I PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 612-571-3450 RECEIPT NO. C;�O� NUMBER 910-F15 REV DATE 6/9/95 PAGE OF APPROVED BY JOB ADDRESS 1010 Lynde Drive NE 1 LEGAL DESCR. LOT NO. 7 BLOCK 3 TRACT OR ADDITION SEE ATTACHED Lyndale Builders 6th SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Harry McKinley 1010 Lynde Dr NE 571-5072 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sawhorse Builders & Designers 4740 42 AVe N, Robbinsdale MN 55422 533-0352 2382 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Cj ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remodel basement 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $31,500 SURTAX $15.75 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $297.50 Fire SC $31.50 PLAN CHECK FEE License SC $5.00 TOTAL FEE 1 $349.75 IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDA Ei WHEN PROPER/''`I VALIDATED THIS IS YOUR PERMIT EILD0 INSP A I�QATE S)GNATURE OF OWNERIIF OWNER BUILDER) (DATE) NEW [ ] Effective 1/1/93 ADDN [ ] CITY OF FRIDLEY ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 2� Construction Address: 10 IL1t- W- S . Legal Description: Owner Name & Address: 4AMNr V L �AQL+Y _,.jD1 LYQK- b It . W - -�-- Tel. # 9 71 "; 0 7a - Contractor: S oMk— 9 00*tS i 1 125. MN LICENSE # 0-t3 l -- Address: -41+1) -4-Vo Wk1E- M0M Tel. # ;- 3 -030 - Attach —03S a - Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. T DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback _ Type of Construction: "D j* ,. Approx. Completion Date: 7 % 3D q ; Driveway Curb Cut Width Needed: Ft. + 6 Ft = Side Yard Setbacks Estimated Cost: $ 31, 5 Do (Cost on Back) Ft x $ = $ DATE: I q S APPLICANT: Tel. # 533 `�a-- CITY USE ONLY Permit Fee Fire Surcharge $J% 5-0 - $-- ,1® Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) State Surcharge $_ LII $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ , 60' $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: Harry and Claire McKinley Date: 5/23/95 1010 Lynde Drive NE Fridley, MN 55432 Job# 837 -------------------------------------------------- [ ] SCOPE OF PROJECT: Basement remodeling. 1. Remove and dispose of wall and door, opening Laundry Room to the new Library/Study area Remove and dispose of existing ceiling the in Library/Study area and in Family Room.�'� pj t4' 2. Furr—out existing block walls with W's at 16"O.C. I insulate with 3-1/2" friction—fit batt insulation (R-13) and install 4 mil poly vapor barrier at warm side of wall. [ ] Remove and dispose of existing paneling in Family Room. Build new 2x4 wall at existing stairway down to Family Room. Build soffits around existing mechanical ductwork and pipes. Insulate all cold water pipes before enclosing. 3. Remove and dispose of cabinets and countertops as shown shaded on plan. 4. Remove and dispose of existing window. Cutting concrete block to enlarge opening for new egress window. FARNORTH 1-2642 clad casement window, EGRESS WDW. * Rough opening: 2'61/16"x 3'11 7/16". * Glass size: 261x42" L�� Glazing: Low "E" Insulated glass. n 1 Exterior finish: clad white. * Interior finish: Unfinished wood. * Jamb size: 6 3/4", due to new 2x6 stud walls. * Sash to open as per plan, w/screen and cranks. * No grids, blinds or shades included in this contract. * Trim: Oak ranch casing, stained by owner. 5. Remove and dispose of existing door. 2'8"x6'6" S.C.pig door * Rough o x6'8 1/2". * Jamb size: 9" due to furring of existing block wall. * Flush door,, No plants or glass * Whin swing as per plan. (d swing changes, adjust electric) * No combination or screen door. * Hardware: B-3, Bright Brass passage set, w/ DEAD BOLT * Trim: Oak ranch casing, stained by owner. c9VY McKINLEY SPEC'S 6. Remove and dispose of existing doors. CASTLEGATE 2'8°x6'8° E-34 steel prehung door. * Rough opening: 2'10"x6'101/2". * Jamb size: Verify before ordering. * 1/2 lite, insulated glazing, 2 panel door. * Door swing as per plan. (if swing changes, adjust electric) * No combination or screen door. * Hardware: B-3, Bright Brass passage set, w/ DEAD BOLT * Trim: Oak ranch casing, stained by owner. 7. 2'6" x 6'W Oak flush HC pocket door * Rough opening: 57x 7'0" * Jamb size: 4 9/16" due to new 2x4 stud walls. * Door slide per plan. (if slide changes adjust electric) * Hardware: Bright Brass privacy lock with thumb pull * Trim: Oak ranch casing, stained by owner. 8. Existing windows and doors to remain, protect as required. [ ] DRYWALL — 1/2" gypsum board over wall studs with taping process, sanded smooth for owners finish. — 5/8" gypsum board for all ceiling or soffit applications with taping process and "medium" texture finish. 9. Open shelving units composed of white 12" melamine shelving & chrome finished shelf standards & brackets. $300.00 allowance. [ ] BATH ACCESSORIES allowance of $35.00. [ ] MIRROR/MEDICINE CABINET allowance $90.00. [ ] PER CHANGE ORDER: SHOWER DOOR shall be a BASCO neo—angle swinging door, extruded aluminum chrome finish with "obscure" safety glass. [ ] CABINETRY shall be manufactured componets by MERILLAT. Bath cabinets: * Style: to be determined * Exterior style & finish: to be determined * Interior finish: to be determined * Hardware: to be determined [ ] CULTURED MARBLE shall be standard color marble w/ 3" integral backsplash and "oval/shell" shaped bowl, faucet drill 4" o.c. pg2of5 1 McKINLEY ROOM FINISH SCHEDULE 5/23/95 3/4 BATH 5/8" sheetrock 1/2" sheetrock N.A. by OWNER OAK RANCH OAK RANCH tape & texture Tape & sand LAUNDRY/ 5/8" sheetrook 1/20 sheetrock N.A. by OWNER OAK RANCH OAK RANCH MUD ROOM tape & texture Tape & sand LIBRARY/ 5/8" sheetrock 1/2" sheetrock N.A. by OWNER OAK RANCH OAK RANCH STUDY tape & texture Tape & sand FAMILY 5/8" sheetrock 1 /2" sheetrock N.A. by OWNER OAK RANCH OAK RANCH ROOM tape & texture Tape & sand UTILITY No Finish No Finish N.A. N.A. No Finish No Finish McKINLEY SPEC'S pg 3 of 5 [ ] HEATING per contract. * Venting for exhaust fan * Add 4 heat vents * Add one cold air return [ ] PLUMBING per contract and the following. All fixtures to be "white". * Tub at the Main floor Bath: * Remove and dispose of existing main floor bathtub and ceramic file surround. * Tub & Surround: Warm Rain tub/shower bay #WR -344/5 * Color: "white" * Shower rods: chrome, curtains by OWNER. * Faucet: DELTA #1548 chrome single handle * Install new floor drain in Utility Room. * Complete sewage ejector system in Utility Room. Basement 1/2 Bath Stool: * Manufacturer: CRANE. * Model: 3-154 E. * Color: white w/ chrome flush handle. Shower: * Manufacturer: WARM RAIN * Model: WR -492 * Color: white. * Shower Door: BASCO, PER CHANGE ORDER. * Faucet: DELTA #1548 chrome single handle Lavitory: * Manufacturer: Cultured marble top with intergal sink * Faucet: DELTA #520 chrome single handle PER CHANGE ORDER: * MUSTEE #18F with GERBER #49244 faucet. [ ] ELECTRIC per contract: * ALL FIXTURES, if on job site at electrical finish, are furnished by owner (UL listed),installed by Sawhorse. * Switch and outlets to be "IVORY" color. * CABLE TV, and SECURITY rough—ins are by owner. SAWHORSE will advise owner when to call for installation. * Any SECURITY SYSTEM repairs or additions by OWNER. * No DOOR BELL BUTTON relocation is included in this contract ** Note you have been charged in this contract for the following: Upgrade existing service to 150 amps. and—wired smoke detector 4 — removals/rel o sin existing area. -------------------------------------------------- • McKINLEY SPEC'S pg 4 of 5 -------------------------------------------------- [ ] ELECTRICAL CONTINUED... 14 — standard receptacles (wall outlets) 1 — ground fault interrupter "GFI" receptacle 7 — standard light openings (no fixtures included) 1 — fan/light openings 7 — assembled fixtures supplied by OWNER, installed by SAWHORSE. 3 — standard switches 2 — three—way switches 1 — NUTONE QT90 cfm bath fan/light 1 — phonejack Any changes to the above quantities will be charged or credited accordingly. * Indicate any special receptacles needed for computers, entertainment centers, etc. and any special heights wanted. GENERAL NOTES [ ] Patch and repair concrete floors as needed due to plumbers' work. Install approximately 120 SF concrete patio, to enlarge existing patio. [ ] CAUTION: Do NOT remove, tear down, or dig up anything before building permit is on job site. [ ] OWNER to protect or move all personal property from in or around construction area, both interior and exterior. Please review area before construction start—up and remove neccessary items. [ ] OWNER DIRECT'Not Included in Contract° ITEMS: SAWHORSE to assist in schedule coordination * All painting, staining and decorating by OWNER. (see attached room finish schedule) * FINISH FLOORING * Any yard damage REPAIR including trees, shrubs and all landscaping by OWNER. * LIGHT FIXTURES * SMOKE DETECTORS in existing spaces * Modifications to public utilities * ABATEMENTS (lead or asbestos) * Corrections of existing substandard conditions (structural or mechanical) (Owner is responsible for all N.I.C. contract obligations: selections, schedule, costs, liabilities and callbacks). -------------------------------------------------- ' McKINLEY SPEC'S pg 5 of 5 -------------------------------------------------- [ ] Clean up of building debris at job completion by SAWHORSE. Dumpster may be left on job site for building debris. (No tires, appliances or neighbor's mattress). [ ] Communication is essential for a successful project. Building BUILDING Permit No.: 'b Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date AN 11200 763-502-4977 FAX EFFFkI1VE 1-1-09 DATE S'-- YOUR EMAIL ADDRESS SrmADDRESS 101c:;) THIS APPLICANT IS: ❑ OWNER �NTRACTOR PROPERTY OWNER! ADDRESS: /U/� YiJ�� dx CITY ,' / sTATFyl7�ztP 3z TENART PH0NE:4, /^ 5' JrZR'V CONTRACTOR NAME: /P?4-V? 96-W— PY Ur � STATE LICENSE STATE LICENSE # EXP DATE T ,,YOUR AND CERTIFICATE OF ADDRESS,��%f P9J- //C� •�Q. CITY �,/ho 1rl ��'S srATF�7�! 23�=� INSURANCE PHONE - /"1'r&c, FAX PROPERTY TYPE WgrNGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ADDITION ❑ G E1SHED [3WINDOWS ❑ BASEMENT FINISH CA'ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING O OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDmoN ❑ MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE:e SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQFT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING S[JBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑ Ahs ❑Soffit ❑ Trim ADDITIONS, & PORCHES SUBMIT: I. Site Plan/Survey showing the odsting structures ❑ Other ❑ Facia and proposed p eject. 2. Tato sets of motion plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U C FEE SCHEDULE) TOTAL JOB VALUATIONS OCA. ryno , n, �7 M: OCCUPANCY TYPE Permit Fee $ h g �5 Plan Review $ Fire Surcharge $ Surcharge $ 1j License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ -_ See Back Page for Fee Schedule 650/6 of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Nay ( ) THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approval plan in the case of all w requires review and approval of plans. (� SIGNATURE OF APPLI PRINT NAME ��d 5 DATE !" Building Permit Fee BUILDING a See Back Page for Fee Schedule Plan Review $ lm;-' 65% of Building Permit Fee Fire Surcharge Inspections RESIDENTjAL APPLICATION Received By: 763-572-3604 S"L CITY OF FRIDLEY Date Rec'd;/� 763-502-4977 FAX I $5.00 (State Licensed Residential Contractors) SAC Charge $ EFFECTIVE 7-1-2010 Curb Cut Escrow $ DATE -* — YOUR E-MAIL ADDRESS 19i - SITE ADDRESS 1 $450 Conservation Plan Review THIS APPLICANT IS: ❑ WNER CONTRACTOR PROPERTY OWNER/ NAME: $ ADDRESS: CITY STATE ZIP TENANT $ PHONE: Make checks payable to: City of Fridley Attach Stipulations CONTRACTOR NAME: G. SUBMIT A COPY OF STATE LICENSE # EXP DATE `- YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: .? -�dEm STATE- , 1P INSURANCE PHONE l FAX PROPERTY TYPE MOG FAMILY/NEW CONSTRUCTION SIZE O FAMILY/NEW CONSTRUCTION _ _ _STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHEDWINDOWS 13BASEMENT FINISH 13ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING 13 OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR D G DESCRIBE WORK BEING DONE: oda.' SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT RSG ❑ HOUSE ONLY BASEMENT REMODELING NUMBER OF SQUARES ❑ HOUSE & GARAGE -SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDONS_ & PORCHES ITI ❑ Vinyl ❑Soffit -SUBMIT: 1. Site Plan/Survey showing the existing structures 13 Aluminum 13 Trim and proposed pmjecL ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS A(Yes ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VAMATION, INCLUDING THE COST OF LABOR AND MATERIALS: ,(USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $//, a See Back Page for Fee Schedule Plan Review $ lm;-' 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valwWon Surcharge $ S"L .0005 x Permit Valuation Minimum $5.00 License Surcharge $ g! ,p v $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Dae $ 7 Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application fora it and work is not without a permit on site; that the work will be in accordance with the approved plan in the case of all o c ',es r approval of pl . SIGNATURE OF APPLICANT NAME DATE 1p( A — ! a I PLEASE NOTE: SEPARATE PERMITS ARE REOUIRED FOR PLUMBING. ELECTRICAL AND MECHANICAL WORK I